Farmers Registration Download Diagramhow can we help you? Please let us know if you have a question or would like further information about us. contacts SMALLHOLDER FARMER'S EMPOWERMENT REGISTRATION FORM Farmers Registrations Upload your passport photograph * Upload your Passport Photograph Choose File Maximum upload size: 1MB Firstname * Surname * Nationality * Gender * Male Female Date of Birth * Email Address (if any) Phone * Number of Farm Produce * Normal RiceOfada RiceMaizeCasavaCastor BeanYamSoya BeanCucumberPineappleVegetablePepperTomatoesOkroMelonOnionPlantainLivestockPoultryFish FarmingPiggeryGoat Farming Number of Farm Produce Town * State * Farm Location * Local Government Area * Number of Acre/Hectare * Type of Ownership Owned Leased Period of Lease AnnuallyLong Lease Language Spoken * For Non-Nigerian) Are you willing to replicate your farming activities in your country if supported? (Please Indicated Yes or No Please give reason if your answer is No Yes No Reasons Products Sales: Are you willing to Sell your farm product(s) at little lower price as against market prevailing rates after being supported? (Please indicate Yes or No) Yes No Choice of Farm Product Sales: Are you willing to sell to your sponsors or designated buyers, at a market prevailing rate (please indicate Yes or No. and give reason if your answer is No. Yes No No, Farm Product Sales Type of Farming? OrganicNon-organic Type of Farming? Verifiable Home Country Address for Non-Nigerian(s): Means of Identification: * Marital Status * Married Single Widow Number of Farm Worker(s): Are you having any outstanding loan from commercial bank of cooperative Society? Yes or No Yes No Period of Liquidation: Has your Farm produce being used as collateral? Yes or No Yes No Final Repayment Date? Do you require/need modern farming equipment/threshers for grains i.e rice, beans soybean, maize etc? Please indicate Yes or No Yes No Do you require or need modern farming technology i.e Irrigation, farm mechanization i.e. Tractors, Harvesters etc Yes or No Yes No Are you ready for free Training in modern farming methods and Practice? Please indicate yes or No Yes No Give reason(s) if your answer is No Are your willing to form cooperative Society or Farmer’s Cluster Units under the umbrella of Humanitarian Ecogreen Foundation & Castor & Allied Products Farmers’ Association of Nigeria> Yes or No, Yes No Please give reasons(s) if your answer is No Number of Dependents Name & Gender of Next of Kin Signature Clear If you are human, leave this field blank. Submit Δ ...Imagine creating energy from waste. Get involved
